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I N T E R N A T I O N A L L O N G E V I T Y C E N T E R - U S A. THE LONGEVITY REVOLUTION. Rosalyn Carter Institute for Caregiving Americus, Georgia October 24, 2008. THE LONGEVITY REVOLUTION. 30 Years  Advantage  Disabilities  Quality of Life 17% of Increase: 65+.

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Inst for Caregiving



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THE LONGEVITY REVOLUTION - U S A

  • 30 Years

  •  Advantage

  •  Disabilities

  •  Quality of Life

  • 17% of Increase: 65+

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THE LONGEVITY REVOLUTION - U S A

  • Great Human Achievement

  • But

  • Grave Concerns of Some

  • Economists, Policy-Makers,

  • Politicians and Pundits

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CONCERNS - U S A

  • Can’t Afford Old People

  • Economic Stagnation

  • Intergenerational Conflicts

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SOME SPECIFIC - U S ACHALLENGES

  • Chronic Illness (The New Longevity 65+)

  • Entitlements

  • Ageism

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CAN WE AFFORD OLD AGE - U S A

  • Health and Longevity

  •  Wealth

  • vs.

  • Economic Stagnation

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HEALTH - U S A WEALTH

  • Follow the Individual Through Life

  • Silver Industries

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“SILVER INDUSTRIES” - U S AOR THE MATURE MARKET

  • Financial Services

  • Legal Services

  • Healthcare Services

  • Housing and Living Arrangements

  • Travel and Hospitality

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INTERGENERATIONAL CONFLICTS - U S A

  • None

  • U.S.

  • and

  • France

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INADEQUATE ATTENTION - U S A

  • Structural Reform

  • Trained Workforce

  • Health Promotion and Disease Prevention

  • Chronic Disease Management

  • Research and Development

  • Caregiving

  • Drug Safety

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HEALTH CARE EXPENDITURES PER CAPITA - U S AIN SELECTED COUNTRIES, 2002

* The U.S has the highest expenditures but the lowest life expectancy and highest infant mortality compared with these 3 countries.

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TRAINED WORKFORCE - U S A

  • PEOPLE WANT TO STAY AT HOME AS LONG AS POSSIBLE

  • Paid Home Health Aides

  • Nursing Shortages

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AGEISM - U S A

  • No Minimum Wage for Home Health Aides

  • 9 of 10 Nursing Homes – Do Not Meet Federal Standards for

  • Personnel

  • Clinical Trials – No FDA Requirement to Include Older Persons

  • Post-Marketing – Drug Safety

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ART OF CAREGIVING - U S A

  • FAMILY

  • PAID

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TO REMAIN AT HOME - U S A

  • AGING IN PLACE

  • AS LONG AS POSSIBLE

  • BEACON HILL

  • NORCs (5000)

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LONG TERM CARE - U S A

  • ABSENT IN AMERICA

  • GERMANY

  • JAPAN

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THE - U S AUNPLANABLE

  • DEMENTIA

  • FRAILTY

  • 40% RISE IN THOSE NEEDING DAILY CARE BY 2020

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HELP - U S A

  • THE FEDERAL FAMILY AND MEDICAL LEAVE ACT

  • 12 UNPAID WEEKS OFF

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RECORD - U S A

  • MEDICAL – HISTORY

  • EMERGENCY CONTACTS

  • MEDICATIONS

  • INSURANCE FUNDS

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CHALLENGE PAID CAREGIVERS - U S A

  • CERTIFICATION

  • TRAINING

  • PAY AND BENEFITS

  • CAREER LADDER

  • ORGANIZATION

  • DIGNITY

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FAMILY CHALLENGES - U S A

  • JOBS/CAREER

  • EXHAUSTION

  • RESPITE

  • COST OF PAID HELP

  • OTHER NEEDS AND WANTS

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FAMILY/PAID - U S A

  • MUST WORK TOGETHER

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FAMILY/PAID - U S A

  • NEED TO UNDERSTAND AND COMMUNICATE

  • WITH EACH OTHER AND WITH

  • DOCTORS AND NURSES

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BUT - U S A

  • BETTER TRAINING

  • AFFORDABILITY

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  • CNAs - U S A

  • HOME HEALTH AIDES

  • MEDICAID PAY

  • 75 HOURS TRAINING REQUIRED

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DIFFERENT TRAINING - U S A

  • CNAs-TRAINING

  • DEMENTIA

  • ELDER ABUSE

  • SOCIALIZATION AND INTERACTION

  • FAMILY

  • NOT SO: HOME HEALTH AIDES

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2006 OFFICIAL POVERTY DATA - U S AFor All People Over 65Per Individual

  • Poverty Line for 65+ Percentage of the 65+ population below the poverty

  • line 9.42%:

  • $9,669/Year or Less

  • About $185/Week or Less

  • About $26/Day or Less

  • Poverty: Percentage of the 65+ Population below 125% of Poverty line: 16.65%:

  • $12,086/Year or Less

  • About $232/Week or Less

  • About $33/Day or Less

  • Poverty: Percentage of the 65+ Population below 150% the poverty line: 22.35%

  • $14,503/Year or Less

  • About $279/Week or Less

  • About $39/Day or Less

  • Source: U.S. Census Bureau 2006 “Official Poverty Tables” accessed August 2007 from http://pubdb3.census.gov/macro/032007/pov/toc.htm. The Census

  • Bureau 2006 Official Poverty Tables are derived from the 2007 Current Population Survey (March Supplement).

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THE SOCIAL SECURITY VANISHING ACT - U S AWHAT THE 2006 COST-OF-LIVING ADJUSTMENT IS UP AGAINST

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THE FUTURE - U S A

  • BOOMERS: TRANSFORMATIVE BUT AT RISK

  • GENOMICS AND REGENERATIVE MEDICINE

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INTERNATIONAL LONGEVITY CENTER - U S A

  • www.ilcusa.org

  • 60 East 86 Street

  • New York, NY 10028

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